| Code | Description | Claims | Beneficiaries | Total Paid |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,192 |
1,191 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
592 |
579 |
$11K |
| 99215 |
Prolong outpt/office vis |
100 |
92 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
127 |
72 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
174 |
92 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$263.89 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
37 |
25 |
$188.99 |